Qualitative study of the control regarding big system changes for the Colombian fitness program in response so you’re able to COVID-19: investigation protocol

Qualitative study of the control regarding big system changes for the Colombian fitness program in response so you’re able to COVID-19: investigation protocol

Coronavirus (COVID-19) are posing a major and you may unprecedented issue so you’re able to health provider believed and you will beginning across the health systems around the globe. Which nationwide financed investigation are analysing brand new response of your Colombian fitness system on the COVID-19 pandemic, drawing to the qualitative circumstances studies from around three local health possibilities within the world. The brand new approach was informed because of the idea of ‘major system change’-or coordinated transform one of different medical care teams or any other associated stakeholders- to understand procedure one to each other enable and you may prevent variation away from wellness services towards the pressures shown because of the COVID-19. The study will gather information about capability ‘bottlenecks’ and additionally winning methods and different innovation one are noticed in your community, that have the potential for getting ‘scaled up’ all over Colombia’s wellness characteristics.

Methods/structure

This qualitative analysis might possibly be performed in 2 stages. In the 1st, around 31 stakeholder interviews might possibly be used to determine instant challenges and options for improvement in a reaction to COVID-19 which may be common inside a punctual method that have fitness service leadership to share with health provider think. The newest stakeholders should include believed, provider and you may mediator communities from inside the wellness system on national peak. From the next, as much as 60 next interview could be presented growing inside-breadth situation degree away from about three local health solutions on metropolitan area level contained in this Colombia. The latest interviews data could well be supplemented that have documentary analysis and you may, where possible, non-participant observance out-of believe meetings.

Dialogue

This new study’s findings often aid review of your value of concept of significant system improvement in a perspective out-of ‘crisis’ decision-and come up with and you will contribute to internationally classes on the boosting wellness systems’ potential to answer COVID-19 and coming pandemics. Studies conclusions is mutual among individuals stakeholders regarding Colombian health care program inside good formative and fast method so you’re able to revise healthcare believe in response to help you COVID-19 and you may future pandemics. Carrying out the research at once from COVID-19 brings up loads of important facts (plus physical distancing and you can tension into the fitness qualities) which have been anticipated throughout the study design and you may look team’s ways of performing.

Contributions into the literature

This study tend to mention the brand new value of one’s concept of major system change, or coordinated developments related to multiple stakeholders, as a result with the COVID-19 pandemic from inside the Colombia.

Big system changes might have been put on the research away from prolonged-title think of provider change, however, little is known regarding the their advantages when you look at the a perspective out of ‘crisis’ decision-and also make toward, and fluidity of your evidence to have, applying improvement in committed from COVID-19.

Due to local fitness system circumstances degree, this study commonly identify capability ‘bottlenecks’ and you may unique techniques, dating and you will creativity which have came up in your neighborhood, that have the opportunity of replication and you will ‘scaling up’ across the Colombia’s health properties.

Background

Coronavirus (COVID-19) is actually posing a primary and you can unmatched problem so you’re able to wellness solution thought and delivery across fitness systems global . Early facts of Far eastern economies (Hong-kong, Singapore and you may The japanese) coping with COVID-19 implies that ‘consolidation off characteristics in the fitness program and you can all over other circles amplifies the ability to ingest and you will comply with shock’ . not, https://worldbrides.org/fi/brasilian-morsiamet/ local proof is necessary from other wellness systems in the world manageable to look at the relevance with the theory also to pertain which or other organizational coaching to have answering COVID-19. Certain business difficulties need to be addressed to evolve services consolidation during the operational and you will governance account. They’ve been developing the capacity, security and you can quality of characteristics to answer consult out of significantly ill and other sort of patient affected by COVID-19, myself otherwise indirectly (provider peak), and you may complimentary numerous personal fitness service teams, municipalities or any other stakeholders from the transformative planning from qualities locally and across the country (governance top).

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